Question:
A woman presents with chronic lower abdominal pain and dysmenorrhea. MRI is shown. What is the diagnosis?
A woman presents with chronic lower abdominal pain and dysmenorrhea. MRI is shown. What is the diagnosis?
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Dysmenorrhea with chronic pelvic pain and enlarged uterus commonly suggests adenomyosis.
Updated On: May 14, 2026
- Adenomyosis
- Endometriosis
- Endometrial carcinoma
- Fibroid
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The Correct Option is A
Solution and Explanation
Concept:
Adenomyosis is the presence of endometrial glands and stroma within the myometrium. It commonly presents with dysmenorrhea, chronic pelvic pain, and heavy menstrual bleeding.
Step 1: Identify the clinical symptoms.
The patient has: \[ \text{Chronic lower abdominal pain + dysmenorrhea} \] These are common symptoms of adenomyosis.
Step 2: Understand the pathology.
In adenomyosis, endometrial tissue is found within the myometrium, leading to uterine enlargement and painful menstruation.
Step 3: Select the diagnosis.
Based on symptoms and MRI-based diagnosis, the most likely answer is: \[ \text{Adenomyosis} \] Therefore, the correct answer is Adenomyosis.
Step 1: Identify the clinical symptoms.
The patient has: \[ \text{Chronic lower abdominal pain + dysmenorrhea} \] These are common symptoms of adenomyosis.
Step 2: Understand the pathology.
In adenomyosis, endometrial tissue is found within the myometrium, leading to uterine enlargement and painful menstruation.
Step 3: Select the diagnosis.
Based on symptoms and MRI-based diagnosis, the most likely answer is: \[ \text{Adenomyosis} \] Therefore, the correct answer is Adenomyosis.
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